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Risk factors associated with birth defects at a tertiary care center in Pakistan
Mohammad Zeeshan Raza1, Asfandyar Sheikh, Syed Salman Ahmed
1Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Insights
Birth defects affect 4.1% of infants, with eye and urogenital system defects being most common. Maternal, socioeconomic, nutritional, and educational factors influence occurrence.
Area of Science:
- Pediatrics
- Public Health
- Medical Genetics
Background:
- Birth defects are congenital conditions impacting infant morbidity and mortality.
- Identifying risk factors is crucial for prevention and early intervention strategies.
Purpose of the Study:
- To determine the association between specific risk factors and birth defects in pediatric patients.
- To investigate the prevalence and types of birth defects in infants presenting at a tertiary care hospital.
Main Methods:
- Prospective, cross-sectional study design.
- Data collection through infant and maternal interviews at Civil Hospital, Karachi.
- Inclusion criteria: infants with at least one birth defect; exclusion: infants without mothers.
Main Results:
- Prevalence of birth defects was 4.1% (669 out of 16,394 infants).
- Common defects involved the urogenital system (19.9%) and eyes (16.9%).
- Other significant defects included musculoskeletal (12.9%), body wall (12.3%), oral cavity (12.1%), and central nervous system (10.9%).
Conclusions:
- Eye and urogenital system defects are the most prevalent birth defects observed.
- Maternal, socioeconomic, nutritional, and educational factors are key influences on birth defect occurrence.
- Findings highlight the need for targeted interventions addressing these risk factors.
Background:
Birth defects are defined as those conditions that are substantially determined before or during birth and which are recognizable in early life. They are an important cause of morbidity and mortality in infants. The main objective of the study was to determine the association of certain risk factors with birth defects occurring in pediatric patients seeking care in Civil Hospital, Karachi.
Methods:
This was a prospective, cross-sectional study conducted at Department of Pediatrics: Units I, II and III of Civil Hospital Karachi, which is a tertiary care hospital located in the city center. These units provide care to pediatric patients from all over the country, with majority belonging to a low socioeconomic background. All infants with at least one birth defect were approached and their mothers interviewed. Demographics of both the mother and the infant were noted. Questions regarding possible exposure to risk factors were asked. Infants who were not accompanied by their mothers were excluded from the study.
Results:
A total of 587 out of 669 infants completed the study successfully. Of these, defects related to urogenital system (19.9%) were the commonest, followed by those related to eye (16.9%), musculoskeletal system (12.9%), body wall defects (12.3%), oral cavity (12.1%), central nervous system (10.9%), gastrointestinal tract (3.2%), cardiovascular system (2.7%) and those related to ear, nose and throat (1.2%).
Conclusion:
669(4.1%) out of a total of 16,394 pediatric patients visiting the hospital during our study were identified as having at least one birth defect. The commonest ones were those related to the eye and the urogenital system. The main factors that influence the occurrence can be grouped into maternal, socioeconomic, nutritional and educational.
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